Healthcare Provider Details

I. General information

NPI: 1659237790
Provider Name (Legal Business Name): MALAIKA LEWIS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 CONN AVE NW
WASHINGTON DC
20015-1847
US

IV. Provider business mailing address

5333 CONN AVE NW
WASHINGTON DC
20015-1847
US

V. Phone/Fax

Practice location:
  • Phone: 202-853-6703
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT200001456
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: